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Form 5500 · Employee benefit plan · INVER GROVE HEIGHTS, ME

LAMETTRY'S COLLISION, INC.

The filing calls this plan LAMETTRY'S COLLISION, INC. MEDICAL AND DENTAL PLAN.

LAMETTRY'S COLLISION, INC. of INVER GROVE HEIGHTS, ME files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is LOCKTON COMPANIES, LLC. Coverage is written through MEDICA INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in January.

Benefits broker of record
Insurance carrier
Policy year ends
Januaryas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 41-1393089 · plan 501 · plan year 2025, filed Oct 1, 2025

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How this plan is funded

Fully insured as reported

The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.

All participants at the start of the year
177
Active at start of year
177
Active at end of year
0
Disclosed commissions
$64,458
Typical renewal
February 1

Benefits declared on this filing

Healthinsured — MEDICA INSURANCE COMPANY258 of 177 participants
Dentalinsured — UNITED OF OMAHA LIFE INSURANCE COMPANY196 of 177 participants
Visionnot declared on this filing
Lifedeclared under plan 503
Disabilitydeclared under plan 502

Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.

Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.

Plan brief

Schedule A lists 2 insured contracts covering health and dental; the largest, with MEDICA INSURANCE COMPANY, covers 258 people.

Reported premium across the insured contracts is $1,614,505, with $64,458 in disclosed broker commissions — about 4% of premium.

The health contract's policy period ended in January, while at least one ancillary line's policy period ended in December. The plan is on a split renewal cycle.

LOCKTON COMPANIES, LLC is the broker of record on all 2 contracts.

Two carriers split the book: MEDICA INSURANCE COMPANY and UNITED OF OMAHA LIFE INSURANCE COMPANY.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
MEDICA INSURANCE COMPANYHealth258Feb 1, 2025$1,492,197$52,227
UNITED OF OMAHA LIFE INSURANCE COMPANYDental196Jan 1, 2025$122,308$12,231

Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
LAMETTRY'S COLLISION, INC.
EIN 41-1393089

The plan administrator is from line 3a of the main form. We publish company names only.

Other plans filed by this employer

How this plan compares

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